Billing Specialist

Parnall Law•Albuquerque, NM

17d•Onsite

About The Position

Parnall Law Firm is seeking a skilled and detail-oriented Billing Specialist to play a key role in ensuring providers submit bills accurately, insurance carriers pay promptly, and clients receive every dollar they're owed as quickly as possible. This role is crucial in maximizing recovery for clients. The firm is described as the largest personal injury firm in New Mexico, with a team of passionate advocates dedicated to helping clients. The Billing Specialist acts as a critical advocate behind the scenes, ensuring all provider bills are submitted correctly, insurance carriers pay on time, and clients receive the maximum possible recovery. The mission is to ensure providers submit bills to health insurance or automobile (MedPay) insurance in a timely manner, and that the proper insurance carriers pay these bills promptly, maximizing the net recovery for the client. Additionally, the Billing Specialist will verify all provider balances in a timely manner so that settlement funds can be distributed to the client as soon as they are received.

Requirements

Excellent communication skills, verbal and written
Strong advocacy for clients and against pushy insurance representatives or medical providers
Confidence and motivation to exceed expectations
Professional attire and demeanor
Desire to learn, develop, and motivate team members
Team player with the ability to adapt in a rapidly changing environment

Responsibilities

Attend firm-wide huddle every Monday at 8:00 AM
Attend daily team mini huddles Tuesday through Friday at 8:00 AM
Attend biweekly meetings with Team Lead fully prepared with supporting data to review individual metrics and create biweekly goals
Open all subrogation claims within 14 days of the signed retainer
Submit Med Pay and Health Insurance information to all treating providers within 30 days of being retained
Submit Med Pay and Health Insurance information to all treating providers when providers are updated by Case Manager, within 15 days of new provider information
Request final health insurance and Med Pay ledgers within 7 days of the client finishing treatment and being moved to Prep
Verify all required outstanding medical balances within 7 days when a case moves into negotiations
Verify any outstanding medical balances within 5 days of a case being settled
Maintain a biweekly activity level of 1,000 or more in SmartAdvocate
Ensure overdue tasks never exceed 60
Follow up with all providers after providing Med Pay and health insurance information to ensure bills are being properly submitted to the proper carrier
Maintain accurate records of all bills, payments, adjustments, and remaining balances to facilitate negotiating discounts by disbursement staff, paralegals, and attorneys — maximizing recovery for our clients
Coordinate benefits with available insurance including but not limited to Med Pay, health insurance, Medicaid, Medicare, Veterans Benefits, and other federal and state programs
Open claims and submit necessary documents for Medicare and Tricare benefits
Maintain the client's Medicare portal
Answer incoming calls via the First Call Group
Monitor dashboard metrics/KPIs and actively work to keep those metrics in top shape
Follow and maintain all firm policies and procedures